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Revista Mexicana de Trasplantes

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2024, Number 1

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Rev Mex Traspl 2024; 13 (1)

Split liver transplant

Leal-Villalpando RP, Alberto RJ, Báez-Lima MR
Full text How to cite this article 10.35366/115309

DOI

DOI: 10.35366/115309
URL: https://dx.doi.org/10.35366/115309

Language: Spanish
References: 4
Page: 39-46
PDF size: 664.02 Kb.


Key words:

Split liver transplantation, right extended allograft, multidisciplinary team.

ABSTRACT

Liver transplantation is the only treatment modality for patients with end-stage liver disease. Just as liver transplantation has improved in terms of better immunosuppressive drugs, techniques and accumulated experience, progress in intensive care medicine and anesthesiology, so has the demand for liver grafts, which has not been met by supply. As a result, thousands of patients die each year on the waiting list. Split liver transplantation has been an important strategy to increase organ supply by creating two transplants from one graft, which is quite feasible to perform in Mexico in hospitals where there is experience in liver transplantation and thus decrease the time on the waiting list. Split liver transplantation offers an attractive way to increase the number of cadaveric grafts. An extended right lobe transplant was successfully performed at the Instituto Nacional de Ciencias Médicas y Nutrición "Salvador Zubirán".


REFERENCES

  1. Doyle MB, Maynard E, Lin Y, Vachharajani N, Shenoy S, Anderson C et al. Outcomes with split liver transplantation are equivalent to those with whole organ transplantation. J Am Coll Surg. 2013; 217 (1): 102-112.

  2. Emre S, Umman V. Split liver transplantation: an overview. Transplant Proc. 2011; 43 (3): 884-887.

  3. Mazariegos GV, Garrido V, Jaskowski-Phillips S, Towbin R, Pigula F, Reyes J. Management of hepatic venous obstruction after split-liver transplantation. Pediatr Transplant. 2000; 4 (4): 322-327.

  4. Broering DC, Schulte am Esch J, Fischer L, Rogiers X. Split liver transplantation. HPB (Oxford). 2004; 6 (2): 76-82.




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Rev Mex Traspl. 2024;13